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Medicare for All's Political Reality

A Barista Planning to Marry a Movie Star

Millenson, Michael L. BA

The Journal of Ambulatory Care Management: July/September 2019 - Volume 42 - Issue 3 - p 218–219
doi: 10.1097/JAC.0000000000000289
Moving Forward the Health Policy Agenda

Attempting to enact Medicare for All in today's political climate is akin to a Starbucks barista saying he is torn between staying with his girlfriend and marrying Jennifer Lawrence: it is an unrealistic ideal. But if one also takes into account the genuine threat to the Affordable Care Act (ACA) from the Trump administration's decision to support a federal judge's controversial under-appeal ruling that the entire ACA is unconstitutional, the Medicare for All enthusiasm is even more alarming. It also ignores the unprecedented disruption to the lives of tens of millions of Americans such a massive change would create.

Health Quality Advisors LLC, Highland Park, Illinois; and Department of General Medicine and Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Correspondence: Michael L. Millenson, BA, Highland Park, IL 60035 (

No funding from any outside sources and no conflicts of interest.

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